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Home My WebLink About43726-Z o�gvFFoc,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . g SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43726 Date: 5/8/2019 Permission is hereby granted to: Macleod, Thomas PO BOX 657 New Suffolk, NY 11956 To: demolish accessory garage as applied for. At premises located at: 595 Oak Rd., New Suffolk SCTM #473889 Sec/Block/Lot# 110.-8-13 Pursuant to application dated 4/30/2019 and approved by the Building Inspector. To expire on 11/6/2020. Fees: DEMOLITION $169.30 Total: $169.30 Building In ctor TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S D.E.C. Trustees C.O.Application Flood Permit Examined ,20 / ,a,. _. D Single&Separate Truss Identification Form APR 3 0 2019 Storm-Water Assessment Form ��,Gontact: Appi oved � >20 T�l'a..Y�al'�,�'s.:E�`_'_ Disapproved a/c TOWN OF SO UD 77 6 Phone Expiration 120_Q( Buildin ctor APPLICATION FOR BUILDING PERMIT Date 3 , 20 00 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. avg& `G. Sf<�� L (Signature of applicant or name,if a corporation) P .O . � 4 7--;� /1/ a) c§u-10,06 address of applicant) !V„ / y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises NQ.G. L_LZ)C1 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Naive and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which roposed work will be done: , T �lr, r I / a- L House Number Street Hamlet County Tax Map No. 1000 Section l l d Block $ Lot 13 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of iroposed construction: a. Existing use and occupancy LUCOrn b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) � Estimated Cost (To Wpaidr on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on'with floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and-extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES-&D.E.C. PERMITS MAY BE,REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO �I// * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF` 13 ar,-Uare, tiaCke D/f being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 14jii e° r (Contractor,Agent, Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this -1h day ofApc 20OL J41j' t /� A - �6Q Notary Publi EY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY`, COMMISSION EXPIRES JUNE 30,2 � j SURVEY OF PROPERTY N/0/F ADAM HOFER AT CUTCHOOVE TOWN OF SOUTHOLD "' GARAGE FND. �, SUFFOLK COUNTY, N.Y. 'rte S73'21 00'E �u�A� ��yAr 141.78' 1000-SCA�Q I3 ae �_• JAE 23•-2014 GARAPORCH GE T � 2 STY. I mva ruKwAr' $ 0 �! a,w ,e PORCH-�� FR. •HSE. ' 420 `I N , z A4� o� Farl fHD. xa, — — — - N73.721'00'_W - _- 147.26' r` unurY POLE —o Durr roCE ---------- - -- —O DAT 0 R - AREA - 14,453 SO. Fr. FEE: �3b BY: uc. No. +ss�e ANY ALR74A nAV OR ANY rxav TO THIS suRtifr is Ha.A noN NOTIFY BUILDING DEPARTMENT AT J PEJO 65-5020 FAX P.C. 765-T797 OF SECWIN 72OW W NEW YORK SG TE WWAWN LAW, arVI•AS PER SECriON 7TW-SLbI'ANS/ON 2.Au CFRM7CA7IOV5 765-1$OQ 8 AM TO 4 PM ± P.O. BOX 909 HEREON ARE`VALID FOR THIS MAP AND CallgrS THEREOF&&-Y fF SAID to NAP NA MCA BAR .HE ruPRESSiD seu OF THE suR�Yav' FOLLOWING INSPECTIO FOR THE sa°n,TRAWLERo i s i T 14-073 wrroSE S O i!/RE APPEARS HERECYJ. COMPLY WITH ALL CODES OF. FOR POURED,CONCRETE R REQUIRED UIRED NEW YORK STATE & TOWN CODES 2. ROUGH - FRAMING & PLUMBING � AS REQUIRED AND-CONDITIONS OF 3. INSULATION �@lti8l-Bi6WN �� 4. FINAL',- CONSTRUCTION MUST BE COMPLETE_FOR C.O. RD ALL CONSTRUCTION SHALL MEET THE,- RETAIN REQUIREMENTS TEES OF THE CODES OF NEW,-,; ,- 'PURSUANT STORM CHAPTER 236�� ' YORK STATE. NOT RESPONSIBLE FCR` F OF THE TOWN 60DE. . .S.DEC DESIGN OR CONSTRUCTION ERRORS. + ' i - i